Samuel A. Bolivar, MD Inc
NPI 1689082711 · Primary Care Clinic/Center · San Bernardino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel A. Bolivar, MD Inc is a Primary Care Clinic/Center organization in San Bernardino, CA (NPI 1689082711).
Provider details
- NPI number
- 1689082711
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Bolivar, Administrator(909) 888-8154
- License
- A41590 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 400 S California Ave Ste CParker, AZ 85344-4426Phone: (928) 259-1000Fax: (909) 888-9940
- 10600 Magnolia Ave Ste JRiverside, CA 92505-1819Phone: (951) 352-3417Fax: (951) 352-3208
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Frequently asked questions
- What is Samuel A. Bolivar, MD Inc's NPI number?
- Samuel A. Bolivar, MD Inc's National Provider Identifier (NPI) is 1689082711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel A. Bolivar, MD Inc?
- Samuel A. Bolivar, MD Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Samuel A. Bolivar, MD Inc located?
- Samuel A. Bolivar, MD Inc's practice location on file with NPPES is 555 N D St, San Bernardino, CA 92401-1305.
- What is Samuel A. Bolivar, MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Samuel A. Bolivar, MD Inc is (909) 888-8154.
- Does Samuel A. Bolivar, MD Inc accept Medicare?
- Samuel A. Bolivar, MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samuel A. Bolivar, MD Inc?
- The authorized official listed on Samuel A. Bolivar, MD Inc's NPPES record is Barbara Bolivar, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel A. Bolivar, MD Inc's NPI active?
- Yes — Samuel A. Bolivar, MD Inc's NPI (1689082711) is active in the NPPES registry as of the last update on 2023-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.