Senior Support Medical Group PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SENIOR SUPPORT MEDICAL GROUP PC

Practice address

880 Apollo St Ste 217
El Segundo, CA 90245-4752

Phone

(714) 698-4908

Fax

(714) 698-4908

NPI assigned

Jul 6, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Shen, MD

Title

President

Phone

(714) 698-4908

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1831017227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 APOLLO ST STE 217",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454752",
            "telephone_number": "714-698-4908",
            "fax_number": "714-698-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 APOLLO ST STE 217",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454752",
            "telephone_number": "714-698-4908",
            "fax_number": "714-698-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUPPORT MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-698-4908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semel Vision Care
• Jane Alison Semel, M.D.
• Justine Semien
• Seth Semoes
• Leonard S Sender, MD
• Arianna C Sepulveda
• Nicole Sepulveda
• Jennifer Sequeira
• Maryalexis Serania
• Matthew Seril, DPT

• General Practice Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.