| Senior Doc Utah PC | |
|
5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 | |
| (855) 434-7763 | |
| (949) 281-5550 |
| Full Name | Senior Doc Utah PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Hutton Centre Dr Ste 950, Santa Ana, California |
| Authorized Official Name and Position | John Mark Geiss (CEO) |
| Authorized Official Contact | 8554347763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Doc Utah PC 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 Ph: (855) 434-7763 | Senior Doc Utah PC 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 Ph: (855) 434-7763 |
| NPI Number | 1760118673 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 02/03/2026 |
| Certification Date | 02/03/2026 |
| Medicare PECOS PAC ID | 4981088754 |
|---|---|
| Medicare Enrollment ID | O20231019001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760118673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | John Geiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20231025000743 |
| Provider Name | Jeffrey John Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20240828002303 |
| Provider Name | Zahra Darbandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447900840 PECOS PAC ID: 3870977861 Enrollment ID: I20250424003153 |
| Provider Name | Kellie Marie Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728668 PECOS PAC ID: 1951756519 Enrollment ID: I20251211000896 |
| Provider Name | Stella Yufenyuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528890472 PECOS PAC ID: 2567903016 Enrollment ID: I20251230001594 |
| Provider Name | Henriette Solyst Hvingelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942353107 PECOS PAC ID: 2668570979 Enrollment ID: I20260126001545 |
| Provider Name | Sarah Kelley Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193217 PECOS PAC ID: 1052725249 Enrollment ID: I20260128000514 |
| Provider Name | Daniel John Konchan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356047542 PECOS PAC ID: 9931572302 Enrollment ID: I20260128001163 |
| Provider Name | Anthony Marcus Yniguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20260219003990 |
| Provider Name | Peris Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861292443 PECOS PAC ID: 4284146655 Enrollment ID: I20260221000737 |
| Provider Name | Alexi Yarashevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340831 PECOS PAC ID: 6406119304 Enrollment ID: I20260320004007 |
| Provider Name | Meredith Alexandra Bock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447612940 PECOS PAC ID: 8729339908 Enrollment ID: I20260430003792 |
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