Individual provider Active NPI

Sarah Gravitz Apollo, DO

  • Internal Medicine Physician
  • Placentia, CA
National Provider Identifier
1730114372
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6613 Issued in CA
Practice address
1041 E Yorba Linda Blvd Ste 200
Placentia, CA 92870-3760
Phone
(714) 350-8934
Fax
(657) 205-7517
NPI assigned
Jul 12, 2006
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6613 CA Primary

Addresses

Primary practice location

1041 E Yorba Linda Blvd Ste 200
Placentia, CA 92870-3760

Mailing address

PO Box 2007
Orange, CA 92859-0007
Phone (714) 350-8934

Other practice location 1

265 S Anita Dr Ste 301
Orange, CA 92868-3346
Phone (714) 350-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303001072 CA Practitioner - Family Practice 5890682702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical Group Inc.Group PAC ID 8224397963, 12 clinicians

Practice addresses (Care Compare)

130 N Brand Blvd
Suite 208
Glendale, CA 91203-2627
Phone (818) 945-6003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A6613CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Group Inc Family Medicine CurrentSince Apr 20, 2023 Accepting new patients
California Mobile Medical Group Inc Family Medicine CurrentSince Dec 6, 2023 Accepting new patients
Twins Physical Medicine Corp CurrentSince Sep 23, 2024 Accepting new patients
Twins Wellness PastSince Sep 23, 2024 Accepting new patients

Locations

400 Ramona Ave
Ste 113
Corona, CA 92879
Phone (714) 621-0327

13311 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (714) 621-0312

130 N Brand Blvd
Ste 208
Glendale, CA 91203
Phone (818) 945-6003

655 N Central Ave
Ste 1734
Glendale, CA 91203
Phone (818) 945-6003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1730114372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590007",
            "telephone_number": "714-350-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 200",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703760",
            "telephone_number": "714-350-8934",
            "fax_number": "657-205-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 S Anita Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683346",
            "country_code": "US",
            "telephone_number": "714-350-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APOLLO",
        "first_name": "SARAH",
        "middle_name": "GRAVITZ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.