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

Samuel Alvin Nicolas IV, MD

Individual provider Psychiatry Physician · NPI 1083954051

Samuel Alvin Nicolas IV, MD is a Psychiatry Physician in San Diego, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6210
Fax: (619) 532-5477
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 132210 (CA)

Record details

NPI number1083954051
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

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