Sarah Apollo DT PC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

20A6613 Issued in CA

Legal business name

SARAH APOLLO DT PC

Practice address

22 Odyssey Ste 155
Irvine, CA 92618-3194

Phone

(714) 202-7909

Fax

(866) 242-5109

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Debra L Sanderson

Title

Clinic Manger

Phone

(661) 993-8941

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1639691397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926290036",
            "telephone_number": "714-202-7909",
            "fax_number": "866-242-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183194",
            "telephone_number": "714-202-7909",
            "fax_number": "866-242-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH APOLLO DT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANGER",
        "authorized_official_telephone_number": "661-993-8941"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A6613",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "20A6613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Santoyo
• Jay I Sanvictores, M.D.
• Sara Schoenhorn LCSW
• Khashayar Sarabi, M.D.
• Farjad Sarafian, MD
• Sarah E Stanton MD Inc
• Sarah Haase Therapy, Licensed Professional Clinical Counselor (Haase Therapy)
• Sarah J. Jebreil, D.D.S., Inc.
• Gabriella Saraiva
• Vahe Sam Sardaryanst, D.D.S.

• Addiction Medicine (Family Medicine) Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.