| Senior Doc Integrated Med PC | |
|
5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 | |
| (855) 434-7763 | |
| Not Available |
| Full Name | Senior Doc Integrated Med PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Hutton Centre Dr Ste 950, Santa Ana, 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 |
|---|---|
| Senior Doc Integrated Med PC 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 Ph: (855) 434-7763 | Senior Doc Integrated Med PC 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 Ph: (855) 434-7763 |
| NPI Number | 1396526026 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Medicare PECOS PAC ID | 3375990286 |
|---|---|
| Medicare Enrollment ID | O20231115001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396526026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Angela J Lamotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538166764 PECOS PAC ID: 7416853619 Enrollment ID: I20031209000668 |
| Provider Name | Valerie Grant |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922041102 PECOS PAC ID: 8921093303 Enrollment ID: I20040416000339 |
| Provider Name | Matthew G Lefferman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184622417 PECOS PAC ID: 1153307897 Enrollment ID: I20050822000536 |
| Provider Name | Anya Consiglio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659458404 PECOS PAC ID: 2769496439 Enrollment ID: I20060201000905 |
| Provider Name | Gity Supervizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376502039 PECOS PAC ID: 0042317307 Enrollment ID: I20070521000535 |
| 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 | Ricardo Cardenas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851696967 PECOS PAC ID: 2264619618 Enrollment ID: I20110610000674 |
| Provider Name | Jeffrey John Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20120608000288 |
| Provider Name | Roger a Christensen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114257771 PECOS PAC ID: 5991951485 Enrollment ID: I20120816000547 |
| Provider Name | John Geiss |
|---|---|
| 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 | Neal G Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063705515 PECOS PAC ID: 7315160470 Enrollment ID: I20140519001974 |
| Provider Name | Jaana Salonsaari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568863348 PECOS PAC ID: 1052638376 Enrollment ID: I20150326000452 |
| Provider Name | Yvette K St Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780006486 PECOS PAC ID: 8325359730 Enrollment ID: I20150625000952 |
| Provider Name | Kevin E Hearn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932585361 PECOS PAC ID: 8325355381 Enrollment ID: I20150923002815 |
| Provider Name | Maria Theresa M Malasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639555691 PECOS PAC ID: 4688984412 Enrollment ID: I20151106002330 |
| Provider Name | Sameer Kamal Hassamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538459011 PECOS PAC ID: 8921246877 Enrollment ID: I20151228000750 |
| Provider Name | Jon Patrick G David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811392871 PECOS PAC ID: 8426355355 Enrollment ID: I20160321001680 |
| Provider Name | Edna a Yarashevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972909968 PECOS PAC ID: 7618268426 Enrollment ID: I20160627001113 |
| Provider Name | Jeffrey Felgner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790122497 PECOS PAC ID: 0648587337 Enrollment ID: I20160630001853 |
| Provider Name | Arin Vahan Abramian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487033213 PECOS PAC ID: 5991928939 Enrollment ID: I20171013002304 |
| Provider Name | Valorie Kolovos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962767780 PECOS PAC ID: 0941438378 Enrollment ID: I20171106003189 |
| Provider Name | Gayle O Elevado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578014494 PECOS PAC ID: 9436417896 Enrollment ID: I20171213002133 |
| Provider Name | Vincent Rowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635190 PECOS PAC ID: 9234487497 Enrollment ID: I20180803000483 |
| Provider Name | Joey Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699126730 PECOS PAC ID: 4981940145 Enrollment ID: I20190108003373 |
| Provider Name | Christopher Vercammen-grandjean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942543699 PECOS PAC ID: 0648561969 Enrollment ID: I20190207000665 |
| Provider Name | Erica Shadae Kinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790281947 PECOS PAC ID: 1355681479 Enrollment ID: I20190327000518 |
| Provider Name | John Dennis Broderick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588666424 PECOS PAC ID: 8729038070 Enrollment ID: I20190516003157 |
| Provider Name | Falicia Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669944963 PECOS PAC ID: 3476888041 Enrollment ID: I20190718002307 |
| Provider Name | Jacqueline Lomibao Kraetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462088 PECOS PAC ID: 0749516342 Enrollment ID: I20190719000299 |
| Provider Name | Anisha Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174760961 PECOS PAC ID: 3274690334 Enrollment ID: I20190903002115 |
| Provider Name | Anthony Marcus Yniguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20210618000780 |
| Provider Name | Katherine Barringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255732228 PECOS PAC ID: 3072735125 Enrollment ID: I20211124001493 |
| Provider Name | Stp Journey Gulles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013653286 PECOS PAC ID: 5890172217 Enrollment ID: I20220524001176 |
| 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 | Reyna Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508531302 PECOS PAC ID: 8527439421 Enrollment ID: I20230131001684 |
| Provider Name | Aastha Jasrotia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871946475 PECOS PAC ID: 1153603899 Enrollment ID: I20230321000878 |
| Provider Name | Jenifer Webb Abramian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508577834 PECOS PAC ID: 9234504515 Enrollment ID: I20230419001533 |
| Provider Name | Maxwell L Kimberley-bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437748191 PECOS PAC ID: 1557779436 Enrollment ID: I20230714002920 |
| Provider Name | Christopher M Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629698733 PECOS PAC ID: 6901251636 Enrollment ID: I20231016001083 |
| Provider Name | Thuy Dung Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225717705 PECOS PAC ID: 5991152548 Enrollment ID: I20231103002224 |
| Provider Name | Emmanuel Ifemazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558052159 PECOS PAC ID: 0143677682 Enrollment ID: I20231106002130 |
| Provider Name | Kelly Straight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952916660 PECOS PAC ID: 9133579543 Enrollment ID: I20231227003169 |
| Provider Name | Ruth Nyamoita Volkenant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174277842 PECOS PAC ID: 2466890470 Enrollment ID: I20240409003676 |
| Provider Name | Michelle Galet Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982311437 PECOS PAC ID: 2668812967 Enrollment ID: I20240503001419 |
| Provider Name | Melanie Liu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568217370 PECOS PAC ID: 3577904465 Enrollment ID: I20240509001190 |
| Provider Name | Brian Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720770639 PECOS PAC ID: 2860926805 Enrollment ID: I20241113001101 |
| Provider Name | Jonathan Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508502 PECOS PAC ID: 7214306729 Enrollment ID: I20250207000601 |
| Provider Name | Alexandra Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104638212 PECOS PAC ID: 4385165901 Enrollment ID: I20250311002525 |
| Provider Name | Rachelle C. Jiongco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760288666 PECOS PAC ID: 2769904887 Enrollment ID: I20250318003612 |
| Provider Name | Abica Jagarnauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134952047 PECOS PAC ID: 8921520933 Enrollment ID: I20250319003137 |
| Provider Name | Gagandeep K Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801609706 PECOS PAC ID: 8022534650 Enrollment ID: I20250428001702 |
| Provider Name | William G Ayoub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619774304 PECOS PAC ID: 5193241651 Enrollment ID: I20250428002598 |
| Provider Name | Antonio Alberto Diaz Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184418204 PECOS PAC ID: 4587182753 Enrollment ID: I20250520004995 |
| Provider Name | Peris Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861292443 PECOS PAC ID: 4284146655 Enrollment ID: I20250623000440 |
| Provider Name | Jeffrey Matthew Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801185814 PECOS PAC ID: 0244742153 Enrollment ID: I20250625003335 |
| Provider Name | Nia Echevaria Ferrer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669106910 PECOS PAC ID: 1557875358 Enrollment ID: I20250703002865 |
| Provider Name | Christine Wahidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023756681 PECOS PAC ID: 1355855172 Enrollment ID: I20250703003447 |
| Provider Name | Molly Kathryn Sabido |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619479128 PECOS PAC ID: 4688921604 Enrollment ID: I20250709000651 |
| Provider Name | John Alexander Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316226160 PECOS PAC ID: 9638684525 Enrollment ID: I20250710003960 |
| Provider Name | Marie Louise Gonzalez Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306638101 PECOS PAC ID: 1355856378 Enrollment ID: I20250717000437 |
| Provider Name | Marisol Barraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407618481 PECOS PAC ID: 7517473630 Enrollment ID: I20250723004413 |
| Provider Name | Vaada Nikole Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974876 PECOS PAC ID: 6305353053 Enrollment ID: I20250728002241 |
| Provider Name | Margaret Saldana Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902686058 PECOS PAC ID: 3072020791 Enrollment ID: I20250728003603 |
| Provider Name | Carly Akemi Takata |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013768217 PECOS PAC ID: 5496253809 Enrollment ID: I20250813003091 |
| Provider Name | Tatiana Ageev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609666502 PECOS PAC ID: 5496123119 Enrollment ID: I20250822003466 |
| Provider Name | Khoi Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215819826 PECOS PAC ID: 4688178478 Enrollment ID: I20250916001333 |
| Provider Name | Pingting Nie |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104208404 PECOS PAC ID: 4082941703 Enrollment ID: I20250917000292 |
| Provider Name | Daisy Ngoc Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447149596 PECOS PAC ID: 4082118666 Enrollment ID: I20250917001658 |
| Provider Name | Shivani Majmudar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952014037 PECOS PAC ID: 6103322433 Enrollment ID: I20251003004003 |
| Provider Name | Tylia Lindsey Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811866767 PECOS PAC ID: 5698267433 Enrollment ID: I20251119004648 |
| Provider Name | Mansimran Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780249383 PECOS PAC ID: 2062907314 Enrollment ID: I20251223004002 |
| Provider Name | Violetta Zheleznova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376419341 PECOS PAC ID: 4587142336 Enrollment ID: I20260202003174 |
| Provider Name | Lilian Rose Ballentos Gumban-saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124993290 PECOS PAC ID: 4183102783 Enrollment ID: I20260203003344 |
| Provider Name | Konstanze Emmaline Conradt-franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972308724 PECOS PAC ID: 9234613720 Enrollment ID: I20260323003516 |
| Provider Name | Nathalie Marie De Vera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366131591 PECOS PAC ID: 0446725873 Enrollment ID: I20260413003228 |
| Provider Name | Blake Steven Bouldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841147337 PECOS PAC ID: 2769959519 Enrollment ID: I20260429002034 |
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