Healthcare Provider Details

I. General information

NPI: 1477783827
Provider Name (Legal Business Name): SCOTT EDWARD NASS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 S FARRELL DR STE A208
PALM SPRINGS CA
92262-7931
US

IV. Provider business mailing address

340 S FARRELL DR STE A208
PALM SPRINGS CA
92262-7931
US

V. Phone/Fax

Practice location:
  • Phone: 760-202-4308
  • Fax:
Mailing address:
  • Phone: 760-202-4308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA116289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: