Senior Doc Integrated Med, Pc | |
2592 N Santiago Blvd Orange CA 92867-1862 | |
(855) 434-7763 | |
Not Available |
Full Name | Senior Doc Integrated Med, Pc |
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Speciality | Family Medicine |
Location | 2592 N Santiago Blvd, Orange, California |
Authorized Official Name and Position | John M Geiss (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8554347763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Doc Integrated Med, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 | Senior Doc Integrated Med, Pc 2592 N Santiago Blvd Orange CA 92867-1862 Ph: (855) 434-7763 |
NPI Number | 1396526026 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Medicare PECOS PAC ID | 3375990286 |
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Medicare Enrollment ID | O20231115001383 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396526026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Angela J Lamotte |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538166764 PECOS PAC ID: 7416853619 Enrollment ID: I20031209000668 |
Provider Name | Valerie Grant |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1922041102 PECOS PAC ID: 8921093303 Enrollment ID: I20040416000339 |
Provider Name | Julie L Dutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013136423 PECOS PAC ID: 3971669847 Enrollment ID: I20090227000435 |
Provider Name | James S Pratty |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528049608 PECOS PAC ID: 4587695416 Enrollment ID: I20091222000364 |
Provider Name | Jeffrey John Thomas |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20120608000288 |
Provider Name | Genevieve Buenaflor |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1417094277 PECOS PAC ID: 6800052838 Enrollment ID: I20120719000356 |
Provider Name | John Mark Geiss |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20130529000756 |
Provider Name | Meera M Shukla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700124773 PECOS PAC ID: 1153561287 Enrollment ID: I20130712000221 |
Provider Name | Don David Palencia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538144241 PECOS PAC ID: 2769429554 Enrollment ID: I20140423001560 |
Provider Name | Yvonne Moncivalles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376816371 PECOS PAC ID: 9234354226 Enrollment ID: I20140708000438 |
Provider Name | Michael Cutler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871620518 PECOS PAC ID: 5991618399 Enrollment ID: I20141203002533 |
Provider Name | Jeffrey Steven Felgner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790122497 PECOS PAC ID: 0648587337 Enrollment ID: I20160630001853 |
Provider Name | Lashunda Kelley Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477962595 PECOS PAC ID: 9436371275 Enrollment ID: I20160920002707 |
Provider Name | Pardeep Kahlon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437593191 PECOS PAC ID: 4183903651 Enrollment ID: I20161128002130 |
Provider Name | Dillys K Owusu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396124533 PECOS PAC ID: 8123393089 Enrollment ID: I20171004000037 |
Provider Name | Nicole Frankle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467729525 PECOS PAC ID: 5496013716 Enrollment ID: I20171214001484 |
Provider Name | Alexi Yarashevich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306340831 PECOS PAC ID: 6406119304 Enrollment ID: I20180405002071 |
Provider Name | Brenna C Shatswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568953560 PECOS PAC ID: 5496003832 Enrollment ID: I20180801002899 |
Provider Name | Joey Wong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699126730 PECOS PAC ID: 4981940145 Enrollment ID: I20190108003373 |
Provider Name | Casey Goodman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477901221 PECOS PAC ID: 5890023659 Enrollment ID: I20191204000315 |
Provider Name | Heather Lea Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578984167 PECOS PAC ID: 6406087766 Enrollment ID: I20200419000236 |
Provider Name | Sarah Lockwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972193217 PECOS PAC ID: 1052725249 Enrollment ID: I20210129001110 |
Provider Name | Amanda Nicole Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871199547 PECOS PAC ID: 5698189546 Enrollment ID: I20210210003048 |
Provider Name | Robert D Ferrera |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578718938 PECOS PAC ID: 1355759028 Enrollment ID: I20210417000012 |
Provider Name | Anthony Yniguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20210618000780 |
Provider Name | Heghine H Muradyan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235795436 PECOS PAC ID: 3072907336 Enrollment ID: I20220302001496 |
Provider Name | Joey Asfahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639706211 PECOS PAC ID: 4183005341 Enrollment ID: I20220719001856 |
Provider Name | Leenah H Khayat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023743986 PECOS PAC ID: 3971987967 Enrollment ID: I20220824002796 |
Provider Name | Rhea M Mulvina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407505464 PECOS PAC ID: 1254715659 Enrollment ID: I20220902002410 |
Provider Name | Allison Breeann Leopold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720379647 PECOS PAC ID: 3870751696 Enrollment ID: I20221013001503 |
Provider Name | Sonia Mahi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417675406 PECOS PAC ID: 6901272905 Enrollment ID: I20221017000988 |
Provider Name | Navneet Boparai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972210284 PECOS PAC ID: 2668840620 Enrollment ID: I20221122002567 |
Provider Name | Gary Richmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992469159 PECOS PAC ID: 0143691527 Enrollment ID: I20230123000775 |
Provider Name | Miriam Etienne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336761378 PECOS PAC ID: 0547631574 Enrollment ID: I20230130000895 |
Provider Name | Narinder Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841867439 PECOS PAC ID: 8325410996 Enrollment ID: I20230207003345 |
Provider Name | Christina Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790499218 PECOS PAC ID: 1759753098 Enrollment ID: I20230214001610 |
Provider Name | Rufina C Onumajuru |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922760321 PECOS PAC ID: 3072986082 Enrollment ID: I20230222000753 |
Provider Name | Bessie Martin-jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881129807 PECOS PAC ID: 1254605231 Enrollment ID: I20230421002392 |
Provider Name | Peter Do Wei |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134707680 PECOS PAC ID: 8022476118 Enrollment ID: I20230622000119 |
Provider Name | Huyen Thi Mong Mai |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801558739 PECOS PAC ID: 8729449624 Enrollment ID: I20230725000998 |
Provider Name | Stephanie Pukini |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003509241 PECOS PAC ID: 5991168205 Enrollment ID: I20230901002057 |
Provider Name | Kelly Straight |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952916660 PECOS PAC ID: 9133579543 Enrollment ID: I20231227003169 |
Provider Name | Candace L Blauser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104550425 PECOS PAC ID: 7416339957 Enrollment ID: I20240205004052 |
Provider Name | Randeep Kaur Brar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427736735 PECOS PAC ID: 9436593357 Enrollment ID: I20240220001082 |
Provider Name | Devin Thomas Warnshuis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801564620 PECOS PAC ID: 4486099207 Enrollment ID: I20240301002830 |
Provider Name | Gurinder Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548948854 PECOS PAC ID: 0941645790 Enrollment ID: I20240301003692 |
Provider Name | Joanne Nguyen Lam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457043317 PECOS PAC ID: 1557708260 Enrollment ID: I20240318000859 |
Provider Name | Lisa Tomlinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598547713 PECOS PAC ID: 8426496852 Enrollment ID: I20240404002156 |
Provider Name | William B. Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457542979 PECOS PAC ID: 5890237804 Enrollment ID: I20240605003788 |
Provider Name | Bianca Parco Pugeda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932967627 PECOS PAC ID: 7911440557 Enrollment ID: I20240624001670 |
Provider Name | Susan Bayamdzhyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487412912 PECOS PAC ID: 7416490099 Enrollment ID: I20240624004182 |
Provider Name | Robert Charles Morse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356194005 PECOS PAC ID: 0143766287 Enrollment ID: I20240724003745 |
Provider Name | Meena Marie Dopp |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710447925 PECOS PAC ID: 4789122938 Enrollment ID: I20240819002974 |
Provider Name | Judith Fonyuy Kibuh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811727712 PECOS PAC ID: 0446799647 Enrollment ID: I20240903000899 |
Provider Name | Melissa Vironica Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508698929 PECOS PAC ID: 9739620634 Enrollment ID: I20240918004619 |
Provider Name | Darcy Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730590167 PECOS PAC ID: 7517283443 Enrollment ID: I20240919001824 |
Provider Name | Stella J Yufenyuy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528890472 PECOS PAC ID: 2567903016 Enrollment ID: I20240924002112 |
Provider Name | Carole Reilly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730910167 PECOS PAC ID: 7911438189 Enrollment ID: I20240930002501 |
Provider Name | Shilpa Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891565487 PECOS PAC ID: 1557713989 Enrollment ID: I20241011003851 |
Provider Name | Fatima Ramirez Pilar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912768763 PECOS PAC ID: 0941732176 Enrollment ID: I20241014001303 |
Provider Name | Farrah Jallalvandi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770317448 PECOS PAC ID: 6002348034 Enrollment ID: I20241016000962 |
Provider Name | Christiane Wiemken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720627912 PECOS PAC ID: 4385070705 Enrollment ID: I20241023002364 |
Provider Name | Krishna Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477325314 PECOS PAC ID: 2466985791 Enrollment ID: I20241025000177 |
Provider Name | Carrie Michelle Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528432952 PECOS PAC ID: 9931632239 Enrollment ID: I20241113001207 |
Provider Name | Jennifer Dagdag Flor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720829195 PECOS PAC ID: 5991230682 Enrollment ID: I20241118002913 |
Provider Name | Jovelyn Urdaneta Galo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821830761 PECOS PAC ID: 9537694237 Enrollment ID: I20241118003297 |
Provider Name | Ann Marielle Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790520765 PECOS PAC ID: 1951836659 Enrollment ID: I20241118003497 |
Provider Name | Gabrielle Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245062736 PECOS PAC ID: 0244765857 Enrollment ID: I20241119004259 |
Provider Name | Samantha Lee Ann Brunink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083436604 PECOS PAC ID: 9830624188 Enrollment ID: I20241122001620 |
Provider Name | Sage Alossi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487477840 PECOS PAC ID: 3072048222 Enrollment ID: I20241125001188 |
Provider Name | Talar Sepetjian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558198507 PECOS PAC ID: 8022543214 Enrollment ID: I20241125002738 |
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