Samuel C Apostol, ADM

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

435294143 Issued in CA

Practice address

460 Church Ave
San Martin, CA 95046-9778

Phone

(408) 439-1962

Fax

(408) 683-0278

NPI assigned

Jul 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South County Retirement Home

  • Assisted Living Facility (Mental Illness)
  • San Martin, CA
  • NPI 1306280839
  NPD (past) Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1316776628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CHURCH AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469778",
            "telephone_number": "408-439-1962",
            "fax_number": "408-683-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CHURCH AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469778",
            "telephone_number": "408-439-1962",
            "fax_number": "408-683-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTOL",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "ADM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "435294143",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "435294143",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "435294143",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "435294143",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "435294143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anka Behavioral Health Incorporated (Sycamore Home)
• Rosario P. Arellano, R.N.
• Madrea Marie Arlia
• Sarbjit Atwal
• Juliet Michelle Baquera, RN
• Rafaela Francelia Brazil

• Assisted Living Facility (Mental Illness) in San Martin, CA
• Providers in San Martin, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.