Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Motaz Othman, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1992651970

Motaz Othman, ACNPC-AG is a Nurse Practitioner in Riverside, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026

Practice location Address checks out

14319 Martin Pl
Riverside, CA 92503-7461
Phone: (951) 880-5628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95038837 (CA)

Record details

NPI number1992651970
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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