SAMUEL ALVIN NICOLAS IV M.D.
NPI 1083954051
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since February 27, 2013
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6210(619) 532-5477 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Alvin Nicolas Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL ALVIN NICOLAS IV M.D. (NPI 1083954051) is an individual psychiatry provider in San Diego, California, licensed in California (132210) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1083954051
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL ALVIN NICOLAS IVCredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-5000 · (619) 532-6210 · Fax (619) 532-5477
Fax(619) 532-5477
Sole ProprietorNo
Enumeration DateFebruary 27, 2013
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1083954051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · 132210
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

34800 BOB WILSON DR, San Diego, CA 92134

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Nicolas's NPI number?

The NPI number for Samuel Nicolas is 1083954051. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Samuel Nicolas located?

Samuel Nicolas practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6210.

What is Samuel Nicolas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Samuel Nicolas was last updated on February 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.