SAMUEL ADVINCULA
NPI 1962868844
Nurse Practitioner - Family in Apple Valley, CA
About Samuel Advincula NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL ADVINCULA (NPI 1962868844) is an individual family provider in Apple Valley, California, licensed in California (95003591) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Advincula is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Advincula reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Riverside, CA 92503
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Advincula's NPI number?
The NPI number for Samuel Advincula is 1962868844. It was assigned to this individual provider in the NPPES registry on January 8, 2016.
Where is Samuel Advincula located?
Samuel Advincula practices at 18300 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (760) 946-8876.
What is Samuel Advincula's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samuel Advincula enrolled in Medicare?
Yes. Samuel Advincula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Advincula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Advincula reassigns Medicare benefits to 3 organizations: Cep America - California (Apple Valley, CA), Southern California Permanente Medical Group (Fontana, CA) and Riverside Emergency Physicians Medical Group (Riverside, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Advincula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Advincula was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Advincula · NPI 1962868844
Family physician in Apple Valley, California. Individual provider, active in the CMS NPPES registry since January 8, 2016.
## Identity
- **NPI:** 1962868844 (Entity type: Individual)
- **Enumerated:** January 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95003591 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18300 US HIGHWAY 18, Apple Valley, CA 92307-2206
- **Phone:** (760) 946-8876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1104871623, Apple Valley, CA); Southern California Permanente Medical Group (NPI 1316463763, Fontana, CA); Riverside Emergency Physicians Medical Group (NPI 1972539039, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 13, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1962868844) · Data from the CMS NPPES public registry.