Active NPI
Senior Doc New Mexico PC
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1073402947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SENIOR DOC NEW MEXICO PC
- Practice address
- 500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312 - Phone
- (855) 434-7763
- NPI assigned
- Jul 2, 2025
- Last updated
- Jul 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Mark Geiss, DO
- Title
- Ceo
- Phone
- (855) 434-7763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Mailing address
5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714
Phone (855) 434-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1558710517
-
- Psychiatric/Mental Health Nurse Practitioner
- Santa Ana, CA
- NPI 1528890472
NM
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1073402947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HUTTON CENTRE DR STE 950",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927078714",
"telephone_number": "855-434-7763",
"fax_number": "949-281-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE NW STE 1200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871025312",
"telephone_number": "855-434-7763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR DOC NEW MEXICO PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "GEISS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-434-7763",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.