Individual provider Active NPI

Nicolas Nassar, MD

  • Pulmonary Disease Physician
  • San Bernardino, CA
National Provider Identifier
1104851609
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A76218 Issued in CA
Practice address
1881 Commercenter E Ste 118
San Bernardino, CA 92408-3442
Phone
(909) 886-1600
Fax
(909) 886-7788
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A76218 CA Primary

Addresses

Primary practice location

1881 Commercenter E Ste 118
San Bernardino, CA 92408-3442

Mailing address

20408 Umbria Way
Yorba Linda, CA 92886-8643
Phone (909) 886-1600

Other identifiers 1

IdentifierTypeStateIssuer
00A762180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000279 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0446155089 Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1881 Commercenter E
Suite 118
San Bernardino, CA 92408-3442
Phone (410) 409-4286

Hospital & facility affiliations

  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76218CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians Medical LLC Past Accepting new patients
Palm Springs Operating Company, LP PastSince Nov 25, 2024 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palm Springs Healthcare & Rehabilitation CenterPalm Springs, CA, CCN 056229 Skilled nursing facility Contracted Managing Employee
Operational/Managerial Control
Nov 1, 2021
Nov 25, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104851609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 UMBRIA WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928868643",
            "telephone_number": "909-886-1600",
            "fax_number": "909-866-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E STE 118",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083442",
            "telephone_number": "909-886-1600",
            "fax_number": "909-886-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "NICOLAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A76218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A762180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.