Samuel Advincula, - Medicare Nurse Practitioner in Apple Valley, CA

Samuel Advincula, is a medicare enrolled "Nurse Practitioner - Family" in Apple Valley, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 18300 Us Highway 18, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 946-8876.

Samuel Advincula is licensed to practice in California (license number 95003591) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962868844.

Contact Information

Samuel Advincula,
18300 Us Highway 18,
Apple Valley, CA 92307-2206
(760) 946-8876
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Advincula
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location18300 Us Highway 18, Apple Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Advincula graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1962868844
  • Provider Enumeration Date: 01/08/2016
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698079663
  • Enrollment ID: I20160211001818

Medical Identifiers

Medical identifiers for Samuel Advincula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962868844NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95003591 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel Advincula allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameRiverside Emergency Physicians Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972539039
PECOS PAC ID: 0547173882
Enrollment ID: O20040729001307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Advincula is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Advincula,
1002 Mccall Dr,
Corona, CA 92881-8451

Ph: () -
Samuel Advincula,
18300 Us Highway 18,
Apple Valley, CA 92307-2206

Ph: (760) 946-8876

Reviews and Comments


Nurse Practitioner Nurses in Apple Valley, CA

Brenda Ann Marin, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307
Phone: 760-810-7631    
Ms. Ashley Alicia Dorn,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16133 Kamana Rd, Apple Valley, CA 92307
Phone: 661-435-9822    
Blanca De Jesus Serrano, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307
Phone: 760-242-7777    
Katherine H Shields, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 19333 Bear Valley Rd, Apple Valley, CA 92308
Phone: 760-956-8700    
Mrs. Phyllis Patricia Salkey, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18270 Siskiyou Rd Ste B, Apple Valley, CA 92307
Phone: 760-949-4118    
Mrs. Michelle Downie, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18112 Us Highway 18, Suite 102, Apple Valley, CA 92307
Phone: 760-810-7778    
Mrs. Yolanda M Burnett-battle, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 19333 Bear Valley Rd, Suite 201, Apple Valley, CA 92308
Phone: 760-956-8700    Fax: 760-956-8705

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.