Healthcare Provider Details

I. General information

NPI: 1902747215
Provider Name (Legal Business Name): SAMAR NAHAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 BROCKCSON AVE
RIVERSIDE CA
92506
US

IV. Provider business mailing address

6767 BROCKTON AVE
RIVERSIDE CA
92506-3023
US

V. Phone/Fax

Practice location:
  • Phone: 714-803-2076
  • Fax:
Mailing address:
  • Phone: 714-803-2076
  • Fax: 951-263-7237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMAR NAHAS
Title or Position: CEO
Credential: MD
Phone: 714-803-2076