SENIOR DOC AZ MEDICAL PC
NPI 1790550895
Family Medicine in Orange, CA
About Senior Doc Az Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC AZ MEDICAL PC (NPI 1790550895) 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
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 Az Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Senior Doc Az Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 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 30Source: 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 Az Medical PC's NPI number?
The NPI number for Senior Doc Az Medical PC is 1790550895. It was assigned to this organization in the NPPES registry on November 17, 2023.
Where is Senior Doc Az Medical PC located?
Senior Doc Az Medical PC is located at 2592 N Santiago Blvd, Orange, CA 92867. The listed phone number is (855) 434-7763.
What is Senior Doc Az Medical PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Az Medical PC enrolled in Medicare?
Yes. Senior Doc Az Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Az Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 5 Medicare specialties reassign their Medicare billing to Senior Doc Az Medical 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 (25), Family Practice (2) and Emergency Medicine (1). Of these, 1 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 Az Medical PC was last updated on November 17, 2023. 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 Az Medical Pc · NPI 1790550895
Family Medicine organization in Orange, California. Organization record, active in the CMS NPPES registry since November 17, 2023.
## Identity
- **NPI:** 1790550895 (Entity type: Organization)
- **Enumerated:** November 17, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Geiss, CEO
## Practice location
- **Address:** 2592 N SANTIAGO BLVD, Orange, CA 92867-1862
- **Phone:** (855) 434-7763 · **Fax:** (949) 281-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Family Practice (2), Emergency Medicine (1); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1790550895/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790550895) · Data from the CMS NPPES public registry.